Elizabeth Erin Emerson-Gallegos, MA, LMHCA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88000365A Issued in IN

Practice address

1139 Westminster LN
Munster, IN 46321-2838

Phone

(219) 895-1628

NPI assigned

Nov 26, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Emerson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 1, 2024 through Dec 1, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1689210460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 WESTMINSTER LN",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212838",
            "telephone_number": "219-895-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 WESTMINSTER LN",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212838",
            "telephone_number": "219-895-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON-GALLEGOS",
        "first_name": "ELIZABETH",
        "middle_name": "ERIN",
        "credential": "MA, LMHCA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000365A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "EMERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Munster, IN
• Providers in Munster, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.